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Licensing details for: 51189

Name: PORTER, JESSE PAUL

License Type: Dentist

Primary Status: Cancelled

Address of Record

1391 TOULON ST
OCEANSIDE CA 92056
SAN DIEGO county
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Issuance Date

July 15, 2003

Expiration Date

March 31, 2014

Current Date / Time

November 3, 2025
4:44:40 PM

License Relationships

FNP to DDS or OMS

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Fictitious Name Permit

Name: CAMARILLO DENTAL GROUP, LAMBRIDIS AND MAR DENTAL CORP.

License/Registration Type: Fictitious Name Permit

License Number: 7634 Primary Status: Cancelled

Address :
2380 E. LAS POSAS ROAD
STE. A
CAMARILLO CA 93010
VENTURA COUNTY

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